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Scorecard of state performance on long-term services and supports finds wide variation
Date:9/7/2011

WASHINGTON-- A new report released jointly today by AARP's Public Policy Institute, The Commonwealth Fund and The SCAN Foundation shows some states significantly out-perform others in the delivery of long-term services and supports (LTSS) to older adults and people with disabilities.

The study finds, however, that even the top three statesMinnesota, Washington and Oregonhave a long way to go to create a high-performing system of long-term services and supports. It shows that all states need to vastly improve in areas including home care, assisted living, nursing home care, and supports for family caregivers, and more efficiently spend the substantial funds they currently allocate to LTSS.

The report, Raising Expectations: A State Scorecard on Long-Term Services and Supports for Older Adults, People with Physical Disabilities, and Family Caregivers, examines four key dimensions of state LTSS system performance: affordability and access; choice of setting and provider; quality of life and quality of care; and support for family caregivers. It assesses each state's performance as a whole and on 25 individual indicators, some of which were measured for the first time.

"This report will help states make and sustain targeted improvements so that people can live and age with dignity in their own homes and communities," said Susan Reinhard, Senior Vice President for Public Policy at AARP. "Achieving a high-performing long-term supports and services system will require a concerted effort from both the public and private sectors."

How State Policies Impact Care and Costs

This Scorecard finds that generally states with the highest level of performance have enacted public policies designed to:

  • Improve access to services and choices in their delivery by directing state Medicaid programs to serve more people in need and offer alternatives to nursing homes that most consumers prefer.

  • Estab
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Contact: Mary Mahon
mm@cmwf.org
212-606-3853
Commonwealth Fund
Source:Eurekalert

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